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CPg TO: 0#'E OF REVENUE AND RECOVERY �. <br /> ACCOUNT TRANSMITTAL COPY <br /> ACCOUNT NO.77777F—DEPT.NO. REFERRAL <br /> 026000.0 <br /> LAST - GUARANTOR - FIRST MI TITLE LAST - AKA - FIRST MI TITLE <br /> CALIFORNIA SPRAY DRY CO11 1 11111111 � 11111111 11 1 <br /> C/O NAME GUARANTOR SSN <br /> MODESTO TALLOW CO <br /> MAILING STREET CITY ST ZIP CODE AREA PHONE NO. <br /> CALIFORNIA SPRAY DRY CO P.O.BOX 5035 STOCKTON CA 95205-0035 209-644-8219 <br /> RESIDENCE STREET CITY ST ZIP CODE AREA PHONE NO. <br /> 925 CROWS LANDING RD,P.O. BOX 1036 MODESTO CA 95353 209-593-7200 <br /> USER REFERENCE NO. I BILL STA CYCLE STATUS DATEI BM CBMCI INT MONTHLY PAY AMT <br /> pt IF QAT_ TERM DATE <br /> 2491 HAZMAT 4/15/06 <br /> CHARGES <br /> LAST - RECIPIENT - FIRST MI TITLE RECIPIENT USER REFERENCE NO/NARRATIVE <br /> SERVICE DATE: DATE OF <br /> START STOP MED REC NO CHARGE <br /> CHARGE DEPT.NO. DESCRIPTION AMOUNT CHARGE DEPT.NO. DESCRIPTION AMOUNT <br /> NONO <br /> 230 026000.0 2006 Hmmp Annual Fee $240.00 <br /> 25 Chems @ $15.00 $375.00 <br /> 10% Late Charge $61.50 <br /> State Service Fee $24.00 ti;, M. <br /> Sm Hw Gen <5 Tons $200.00 <br /> Calarp Fac State Fee $270.00 <br /> Permit Fee Penalty $200.00 <br /> TOTAL $1370.50 <br /> GUARANTOR <br /> DOB DR LIC NO AUTO LIC NO <br /> PRIOR STREET CITY ST ZIP CODE <br /> EMPLOYER NAME EMPLOYER PHONE NO <br /> CALIFORNIA SPRAY DRY CO 209-644-8219 <br /> EMPLOYER STREET CITY ST ZIP CODE <br /> 4221 E MARIPOSA RD STOCKTON CA 95215 <br /> 3PeUSB CO-OWNER <br /> LAST FIRST MI TITLE SOC SEC NO. DOB DR LIC NO AUTO LIC NO <br /> EMPLOYER NAME EMPLOYER PHONE NO <br /> CALIFORNIA SPRAY DRY CO 209-644-8219 <br /> EMPLOYER STREET CITY ST ZIP CODE <br /> 4221 E MARIPOSA RD STOCKTON CA 95215 <br /> PREPARED BY I CHECKED BY JDATE 2 j Q COL. 20 (3/8 <br />